Organization
REYNOLDS FAMILY DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH C REYNOLDS DMD (DENTIST, PRESIDENT)
(864) 938-6002
Entity
Organization
Contact information
Practice address
85 PROFESSIONAL PARK ROAD, CLINTON, SC 29325
(864) 938-6002
(864) 938-6589
Mailing address
PO BOX 265, LAURENS, SC 29360-0265
(864) 938-6002
(864) 938-6589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3705
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9666
—
SC
Enumeration date
05/14/2007
Last updated
08/22/2020
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